Lesley Verhofstadt

Support Provision in Marriage: The Role of Emotional Similarity and Empathic Accuracy

The goal of this investigation was to identify microlevel processes in the support provider that may foster or inhibit the provision of spousal support. Specifically, the authors focused on (a) how emotional similarity between the support provider and support seeker and (b) how empathic accuracy of the support provider relate to support provision in marriage. In a laboratory experiment, 30 couples were randomly assigned to 1 of 2 conditions (support provider: man vs. woman) of a factorial design. The couples provided questionnaire data and participated in a social support interaction designed to assess behaviors when offering and soliciting social support. A video-review task was used to assess emotional similarity and empathic accuracy during the support interaction. As expected, greater similarity between the support providers and support seekers emotional responses, as well as more accurate insights into the support-seeking spouses thoughts and feelings were found to be predictive of more skilful support (i.e., higher levels of emotional and instrumental support and lower levels of negative types of support).

Empathy and Social Support Provision in Couples: Social Support and the Need to Study the Underlying Processes

ABSTRACT Social support researchers and clinicians have repeatedly expressed the need to identify the antecedents of social support provision within close relationships. The aim of the present study is to investigate the extent to which individual differences in cognitive empathy (perspective taking) and affective empathy (empathic concern and personal distress) are predictive of social support provision in couples. Study 1 involved 83 female participants in a relatively young relationship; Study 2 involved 128 married couples. The authors used self-report measures in both studies to assess individual differences in empathy and participants’ support provision behaviors. The main findings suggest a significant contribution of the different components of empathy with rather different pictures for each of these components. The authors discuss the present findings in light of existing theory and research on social support in relationships.

Systematic Review: Family Resilience After Pediatric Cancer Diagnosis

OBJECTIVES A systematic review was conducted to (1) investigate family resilience in the context of pediatric cancer, and (2) examine theoretical, methodological, and statistical issues in this literature. Family resilience was operationalized as competent family functioning after exposure to a significant risk. METHODS Following guidelines for systematic reviews, searches were performed using Web of Science, Pubmed, Cochrane, PsycInfo, and Embase. After screening 5,563 articles, 85 fulfilled inclusion criteria and were extracted for review. RESULTS Findings indicated that most families are resilient, adapting well to the crisis of cancer diagnosis. However, a subset still experiences difficulties. Methodological issues in the current literature hamper strong nuanced conclusions. CONCLUSIONS We suggest future research with a greater focus on family resilience and factors predicting it, based on available theory, and conducted with attention toward unit of measurement and use of appropriate statistical analyses. Improvements in research are needed to best inform family-based clinical efforts.

Systematic Review: Associations Between Family Functioning and Child Adjustment After Pediatric Cancer Diagnosis: A Meta-Analysis

Objectives A systematic review and meta-analysis was conducted to investigate associations between family functioning and child adjustment (patient/siblings) after pediatric cancer diagnosis. Methods Database searches were performed using Web of Science, Pubmed, Cochrane, PsycInfo, and Embase. After screening 5,563 articles, 35 were identified regarding this topic; 30 contributed data for meta-analyses. Pearson’s r correlations were the effect of interest. Omnibus and family functioning domain-specific random-effects meta-analyses were conducted. Data are depicted in forest plots. Results A statistically significant association was found between family functioning and child adjustment (patient/siblings) after cancer diagnosis (r  =  0.19; 95% CI: 0.13–0.24). Greater family cohesion, expressiveness, and support and less family conflict were each associated with better child adjustment outcomes. Conclusions Family functioning is associated with patient and sibling adjustment after pediatric cancer diagnosis. Limitations in the existing literature preclude strong conclusions about the size of these effects and potential moderators.

An Integrative Theory-Driven Positive Emotion Regulation Intervention

Over the past fifteen years, positive psychology research has validated a set of happiness enhancing techniques. These techniques are relatively simple exercises that allow happiness seekers to mimic thoughts and behavior of naturally happy people, in order to increase their level of well-being. Because research has shown that the joint use of these exercises increases their effects, practitioners who want to help happiness seekers need validated interventions that combine several of these techniques. To meet this need, we have developed and tested an integrative intervention (Positive Emotion Regulation program – PER program) incorporating a number of validated techniques structured around a theoretical model: the Process Model of Positive Emotion Regulation. To test the effectiveness of this program and to identify its added value relative to existing interventions, 113 undergraduate students were randomly assigned to a 6-week positive emotion regulation pilot program, a loving-kindness meditation training program, or a wait-list control group. Results indicate that fewer participants dropped out from the PER program than from the Loving-Kindness Meditation training. Furthermore, subjects in the PER group showed a significant increase in subjective well-being and life satisfaction and a significant decrease in depression and physical symptoms when compared to controls. Our results suggest that the Process Model of Positive Emotion Regulation can be an effective option to organize and deliver positive integrative interventions.

The Role of Cognitive and Affective Empathy in Spouses' Support Interactions: An Observational Study

The present study examined how support providers’ empathic dispositions (dispositional perspective taking, empathic concern, and personal distress) as well as their situational empathic reactions (interaction-based perspective taking, empathic concern, and personal distress) relate to the provision of spousal support during observed support interactions. Forty-five committed couples provided questionnaire data and participated in two ten-minute social support interactions designed to assess behaviors when partners are offering and soliciting social support. A video-review task was used to assess situational forms of perspective taking (e.g., empathic accuracy), empathic concern and personal distress. Data were analyzed by means of the multi-level Actor-Partner Interdependence Model. Results revealed that providers scoring higher on affective empathy (i.e., dispositional empathic concern), provided lower levels of negative support. In addition, for male partners, scoring higher on cognitive empathy (i.e., situational perspective taking) was related to lower levels of negative support provision. For both partners, higher scores on cognitive empathy (i.e., situational perspective taking) correlated with more instrumental support provision. Male providers scoring higher on affective empathy (i.e., situational personal distress) provided higher levels of instrumental support. Dispositional perspective taking was related to higher scores on emotional support provision for male providers. The current study furthers our insight into the empathy-support link, by revealing differential effects (a) for men and women, (b) of both cognitive and affective empathy, and (c) of dispositional as well as situational empathy, on different types of support provision.

VIDANN: A video annotation system

VIDANN is a computer program that allows participants to watch a video on a standard TV and to write their annotations (thought/feeling entries) on paper attached to a writing tablet. The system is designed as a Microsoft ActiveXmodule. It can be further adapted by the individual researcherthrough the use of a VBScript. All data, including the participant’s handwriting, are stored in an XML database. An accompanying Wizard has been designed that enables researchers to generate VBScripts for standard configurations.

Support-seeking, support-provision and support-perception in distressed married couples: a multi-method analysis

An emerging consensus argues for the importance of spousal support in our understanding of how relationships succeed or fail. This report covers two studies that examined support seeking, support provision and support perception in distressed married couples. In Study 1 a total of seventy distressed and seventy non-distressed couples participated in a survey study; in Study 2 twenty distressed and twenty non-distressed couples participated in an observational study. Global self-reports were used in both studies to assess spouses’ support behaviour and perceived support. These measures were supplemented in Study 2 with measures of observed support behaviour and interaction-based perceived support as assessed during specific support interactions. Our self-report and observational measures consistently indicated that distressed marital couples display lower levels of positive support-seeking and emotional or instrumental support provision than non-distressed couples. We also found evidence for higher levels of negative support-seeking and provision behaviour in distressed couples, as compared to non-distressed couples. Distressed spouses also reported lower levels of global and interaction-based perceived support than non-distressed spouses. Practitioner points Assess and evaluate the different support behaviour in couples Explain the interactional support behaviour cycle Increase support skills within the couple Detect and block negative support behaviour

Quality of Life and Body Mass Index in Overweight Adult Women with Polycystic Ovary Syndrome During a Lifestyle Modification Program

OBJECTIVE To evaluate changes in body mass index (BMI) and health-related quality of life (HRQoL), including an acne parameter, of overweight adult women with polycystic ovary syndrome (PCOS) during a lifestyle modification program. DESIGN Prospective longitudinal within-patient study. SETTING Department of Reproductive Medicine of the Ghent University Hospital (Belgium). PARTICIPANTS Thirty-three overweight (BMI ≥ 25 kg/m²) women with PCOS between age 18 and 43 years. METHODS Participants followed a 24-week lifestyle modification program consisting of a diet, exercise, and psychological subprogram. BMI was assessed at Weeks 0, 8, 16, and 24 of the program. The HRQoL was measured at Week 0, 12, and 24 of the program using the PolyCystic Ovary Syndrome Questionnaire (PCOSQ) and a Visual Analogue Scale (VAS) to evaluate the influence of acne on HRQoL. RESULTS During a 24-week period no significant decrease in BMI occurred (mean difference = 1.71, 95% confidence interval [CI] [-1.38, 4.81]. During that period, there was a significant positive evolution of the total PCOSQ score, F(2, 37.5) = 23.7, the emotions, F(2, 37.9) = 4.2, weight, F(2, 42.1) = 24.8, body hair, F(2, 35.6) = 3.3, and infertility problems domain scores, F(2, 43.1) = 15.64, of the PCOSQ, as well as of the acne VAS score, F(2, 29.3) = 4.2. These effects primarily occurred during the first 12 weeks. CONCLUSION In spite of no significant changes in BMI, the HRQoL of overweight adult women with PCOS significantly improved during a 24-week lifestyle modification program.

Couple functioning after pediatric cancer diagnosis: a systematic review.

A systematic review was conducted to (1) investigate couple functioning after a pediatric cancer diagnosis and (2) examine theoretical and methodological tendencies and issues in this literature.